Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Professional		$39.65	$39.65	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.31 / $107.31 / $107.31	Facility		$107.31	$107.31	$107.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $84.33 / $148.58	Professional		$84.33	$84.33	$148.58
HMSA Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $141.43 / $141.43	Professional		$135.07	$141.43	$141.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.04 / $135.07 / $189.10	Professional		$81.04	$135.07	$189.10
United Facility/Professional Professional Modifier Low / Median / High Price $86.99 / $107.31 / $148.58	Professional		$86.99	$107.31	$148.58
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $84.41 / $128.56	Professional		$59.09	$84.41	$128.56